roguetrick

That law provides several different levels of trafficking, and Hotchkiss was convicted under the lowest level – having between 2.2 lbs and 100lbs. That weight includes all parts of the plant, root and stem and all.

40 years, jesus fucking CHRIST.

This would've been the third consecutive coup, btw. The current leader was a captain who couped the last leader who couped the civilian government. Ecowas suspended them due to this.

Ghost has a hank hill ass.

For a 40 year old, I have a come to jesus moment. I say you need this for your a. fib, or whatever, or you're gonna throw a clot and have a stroke. If you don't want to take it, that's fine, but that's a choice you're gonna be making. I tell them that we administer medications at set times to maintain effective prophylaxis. I'll jot a quick note, and if I have the time call the whoever ordered it and inform them of the refusal. If they want to place an ORDER for me to leave medication by the bedside, I will. But that's what it would take for me not write a refusal to take medication on the time it's ordered as anything but a refusal.

We're on the same page. That's what I meant about a patient refusing to take it "right now." That's a refusal and you just document it in the notes and try again after you round on everybody else.

That said, the floor and the ED act a bit different when we're talking about scheduled medications. Things can be a bit more flexible on the floor.

Oh, it happens plenty. Let's just say the nursing home nurses have it down to a science to speed folks up with all the patients they're administering medication to. Usually part of our report to other nurses on shift change, and what strategies we're using. Some folks want to talk, some folks are trying to exercise the very little control they have in a situation where their life has completely spiraled out.

You can put it in nurses notes, or depending on the EHR put an administration "note" in the MAR. But you have to actually put it there and then your manager will yell at you. Point is, you need to be sure they actually took a medication you documented you administered at the time you said you administered it.

This stuff isn't "my bosses" though but "standard nursing care."

On the point of patient's refusing meds, they're allowed to refuse. Nobody's gonna fire you for patients refusing their meds. You just document it as "refused." Now if the patient later says to the doctor that they didn't actually refuse and you just didn't feel like pushing the issue, that's another thing. Put a nurses note as to why they refused in their own words if you want to CYA on that. Doctor has to talk to them a discontinue the medication anyway if they're refusing, so you need a note.

On a particularly difficult patient, like what you're describing, you put in the nurses notes each time you attempted to administer medication and they refused. Those type of red flag notes are always fun to see before you come on shift.

The article is really funny, because they talk about how this company's innovation could be used in pacemakers. When they had betavoltaic pacemakers in the 1970s. https://en.wikipedia.org/wiki/Betavoltaic_device

Totally. Not indicative of a total lack of both awareness and self awareness at all. I completely understand.

Much like satire, usernames seem to be a challenging thing for ya. It's not my comment.

ate the onion